icupearls.org Archive

Pearls on Intensive Care Medicine Practice - Project "Critical Care A Day"

Monday, September 30, 2019

pyogenic liver abscess

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Q: Which of the following drugs has shown to cause pyogenic liver abscess? A) beta-blockers B) calcium channel blockers C) proton-pump...
Sunday, September 29, 2019

cephalosporins and renal insuff

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Q: Which of the following cephalosporins does not need any dose adjustment in renal insufficiency/failure?  A) Cefazolin B) Cefotaxime ...
Saturday, September 28, 2019

Misplaced central line

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Case report: "Emergency Physician intubated the patient and inserted a central line in the right subclavian vein....Pulmonologist order...
Friday, September 27, 2019

PDPH

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Q: Who is at higher risk of Post Dural Puncture Headache (PDPH)?  A) Males  B) Females  Answer: B Lumbar puncture (LP) is a common...
Thursday, September 26, 2019

'maternal cause-specific' mortality in cardiac arrest

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Q: Which of the following is found to be the leading 'maternal cause-specific' mortality in cardiac arrest in the United States? ...
Wednesday, September 25, 2019

Diuresis in AKI

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Q : Diuresis during resolution of acute kidney injury (AKI) is due to? A) Glucosuria B) Urea diuresis C) Sodium diuresis D) Water diure...
Tuesday, September 24, 2019

coccidioidomycosis meningitis. in pregnancy

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Q: 32 year old female with 12 weeks of pregnancy is admitted to ICU with coccidioidomycosis meningitis. CSF pressure reported normal on Lum...
Monday, September 23, 2019

Korsakoff syndrome

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Q: Korsakoff syndrome (KS) is characterized by? (select one) A) selective anterograde amnesia B) selective retrograde amnesia C) both o...
Sunday, September 22, 2019

Rewarming

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Q: Which of the following thermometers is most accurate during the rewarming phase in hypothermia? A) rectal thermometers  B) probe in ...
Saturday, September 21, 2019

TLS

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Q: All of the following electrolyte/lab abnormalities are part of Cairo-Bishop definition of laboratory tumor lysis syndrome except ?  A) ...
Friday, September 20, 2019

The risk of suicide

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Q: 20 years old male with no previous history is admitted to ICU after a suicide attempt. Psychiatry service diagnosed him with schizophren...
Thursday, September 19, 2019

Sexually Inappropriate Behavior in Dementia

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Q: 72 year old male with senile dementia is admitted in ICU with community-acquired pneumonia. While recovering from pneumonia, he continues...
Wednesday, September 18, 2019

DGS

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Q: 24 year old female with DiGeorge syndrome (DGS) is admitted to ICU after her cardiac surgery for postop care. Which electrolyte abnormali...
Tuesday, September 17, 2019

DILI

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Q; Which of the following drug causes Drug-Induced Liver Injury (DILI) by ischemic necrosis? A) Ergot B) Amiodarone C) Lisinopril D) O...
Monday, September 16, 2019

Ramsay Hunt syndrome

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Case: 47 year old immunocompromised m patient is in ICU with septic shock. The patient developed vesicles in the auditory canal. The infect...
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Sunday, September 15, 2019

Cocaine, VQ scan and PE

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Q : What makes cocaine-induced pulmonary injury appears like pulmonary embolism (PE) on ventilation-perfusion (V/Q) lung scan? Answer:   ...
Saturday, September 14, 2019

Suicide terms

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Q; What is the difference between suicidal ideation, suicide threat, and suicide gesture? Answer: Patients with any slightest clue of s...
Friday, September 13, 2019

AT-3

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Q: Hemodialysis? (select one) A) Increases the level of Antithrombin iii (AT-3) B) Reduces the level of Antithrombin iii (AT-3) Answe...
Thursday, September 12, 2019

IV adenosine

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Q;  IV push of 6-12 mg of Adenosine should ideally be given via? (select one) A) peripheral line B) central line Answer: A The rec...
Wednesday, September 11, 2019

hydralazine-asso.-lupus

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Q: 32 year old female is admitted to ICU with lupus associated pulmonary embolism. Rheumatology service diagnosed her lupus secondary to he...
Tuesday, September 10, 2019

HeRO graft

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Q: What is HeRO graft? Answer: HeRO graft stands for Hemodialysis Reliable Outflow (HeRO) graft. HeRO graft is the last salvage access f...
Monday, September 9, 2019

Femoral line

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Q : For femoral central line, it helps to? (select one) A) abduct the leg B) adduct the leg Answer; A Positioning to place any CVC ...
Sunday, September 8, 2019

hypothermia

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Q: Effect of hypothermia on platelet dysfunction starts at what temperature? A) 36°C B) 34°C  C) 32°C  D) 30°C  Answer: B Hypoth...
Saturday, September 7, 2019

BC via CVC

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Q : Drawing blood cultures from 'just inserted' central venous catheter (CVC)? (select one)  A) decreases the likelihood of false-...
Friday, September 6, 2019

BMV

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Q: During bag-mask ventilation (BMV), what is the best way to reduce the likelihood of decreasing gastric inflation?    Answer: Squeezin...
Thursday, September 5, 2019

LRINEC

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Q:  Which of the following is not part of Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score? A) C-reactive protein  B) Wh...
Wednesday, September 4, 2019

ICA and VA dissections

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Q: Transient monocular blindness is more common with? (select one)  A) Internal carotid artery dissection  B) Vertebral artery dissecti...
Tuesday, September 3, 2019

Toxicology

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Q: 52 year old mining worker is admitted to ICU with episodes of torsades de pointes after an exposure to large amount of fumes. Patient c/o...
Monday, September 2, 2019

Permissive hypoxemia

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Q: The formula for 'Inspiratory Time' (IT) on the ventilator is the tidal volume divided by? (select one) A) the inspiratory f...
Sunday, September 1, 2019

MINS

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Q: Pulmonary embolism (PE), sepsis, or cardioversion are considered the main reasons behind myocardial injury after noncardiac surgery (MIN...
Saturday, August 31, 2019

single regimen antibiotics in acute acalculous cholecystitis

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Q: Which of the following antibiotics can be used as an empiric single regimen in suspected acute acalculous cholecystitis? A) Piperac...
Friday, August 30, 2019

KS Rx

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Q: 42 year old male with HIV is admitted to ICU with pneumonia. ID service in the list of their regimen also prescribed an anti-hypertensive...
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